17-102255City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 8352609
Project Name: CAR TOYS/ MATRESS
Project Address: 31610 PACIFIC HWY S
Project Description: Replace fire alarm wiring from FACP to vault.
7-!
Electrical
Permit #:17 -102255 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9118
Owner
Applicant
Contractor
RHM FEDERAL WAY L L C
MATT CARLMANFIRE SYSTEMS WEST
FIRE SYSTEMS WEST INC
12013 206TH PL SE
INC
(ELECTRICAL)
ISSAQUAH, WA 98027
206 FRONTAGE RD N SUITE C
FIRESWI055LW (6/16/19)
PACIFIC WA 98047
206 FRONTAGE RD N
PACIFIC WA 98047-1023
Additional Permit Information
Is this an Online or O.T.C. application ................ Yes J
Low Voltage - Fire Alarm (Co: 1 O
PERMIT EXPIRES T day, 15 May, 2
PermitVIP nday, May 1
1 hereby certify that the above i rma ' is ect and that tdiction on the above described property
and the occupancy and the u ccordance W�, rules and regulations of the State of
s ' ton and the City eral Way.
Date: 3- 3 D— I Z
Owner or agent:
w
V . ,
THIS CARD IS TO REMAIN ON-SITE
Federal Way THIS
Inspection Record
i INSPECTION REQUESTS: (253) 835-3050
PERNIIT #: 17102255 00 Address: 31610 PACIFIC HWY S
Project: RHEM FEDERAL WAY L L C FEDERAL WAY WA 98003-5408
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0
LIFER Ground (4295)
Fil
Ditch cover (4030)3❑
9 Ceiling Cover (4020)
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
9 Ceiling Cover (4020)
® Service (4235)
Approved
Approved
Approved
Approved
By
Approved
By
Date
By
Date
By
By Date
Final - Electrical (4055)
Approved
By Date
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
9 Ceiling Cover (4020)
Approved
Right of Way
Approved
Approved
iBy
By
Date
By
Date
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
1By
Approved
By
Date
By
Date
Date
QTY OF
Federal Way
RECEt VE p
MAY 15 2011
ELECTRICAL
PERMIT APPLICATION
NUMBER 1 – f V Z 2-5
5 –E
L—
SITE ADDRESS: 31610 Pacific Hwy S
31
-j
SUITE/UNIT/SPACE#
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/ PROPOSED USE
$ 1, 000.00
0 9 2 1 0
4_
9 1 1 8
PROJECT NAME
(Tenant or Homeowner Last Name)
Mattress Firm / Car Toys
Replace Fire Alarm
wiring from FACP
to vault.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
RHEKI Federal Way LLC.
( ) -
MAILING ADDRESS
E-MAIL
600 108th Ave NE #530
CITY
Bellevue
STATE
WA
2IP
98004
FAX
NAME
PRIMARY PHONE
Fire Systems West,
Inc.
(253)833 _1248
MAILING ADDRESS
E-MAIL
ELECTRICAL
206 Frontage Rd N,
Suite -C
service@firesystemswest.com
CITY
Pacific --TWA
STATE
27P
98047
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
FIRESWI055LW
06/16 / 17
19-87-000014-00-B
NAME
PRIMARY PHONE
Fire Systems West,
Inc.
(253)833-1248
APPLICANT
MAILING ADDRESS
E-MAIL
206 Frontage Rd N,
Suite
-C
service@firesystemswest.com
CITY
Pacific
STATE
WA
I ZIP
98047
FAX
( )
PROJECT CONTACT
NAME
Matt Carlman
PRIMARY PHONE
(253)951 -6005
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of
my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all
applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city 9s a part of this application.
SIGNATURE:
PRINT NAME: Matt Cariman
05/15/2017
PERMIT CENTER + 33325 811 Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentericitvoffederalway.com
Bulletin #I60–April 14, 2016 Page 1 of I k:AHandouts\Electrical Permit Application